Psychosexual development in men with congenital hypogonadotropic hypogonadism on long-term treatment: a mixed methods study.

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Serval ID
serval:BIB_D73F642668FA
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Psychosexual development in men with congenital hypogonadotropic hypogonadism on long-term treatment: a mixed methods study.
Journal
Sexual Medicine
Author(s)
Dwyer A.A., Quinton R., Pitteloud N., Morin D.
ISSN
2050-1161 (Electronic)
ISSN-L
2050-1161
Publication state
Published
Issued date
2015
Peer-reviewed
Oui
Volume
3
Number
1
Pages
32-41
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
INTRODUCTION: Congenital hypogonadotropic hypogonadism (CHH) is a rare, genetic, reproductive endocrine disorder characterized by absent puberty and infertility. Limited information is available on the psychosocial impact of CHH and psychosexual development in these patients.
AIM: The aim of this study was to determine the impact of CHH on psychosexual development in men on long-term treatment.
METHODS: A sequential mixed methods explanatory design was used. First, an online survey (quantitative) was used to quantify the frequency of psychosexual problems among CHH men. Second, patient focus groups (qualitative) were conducted to explore survey findings in detail and develop a working model to guide potential nursing and interdisciplinary interventions.
MAIN OUTCOME MEASURES: Patient characteristics, frequency of body shame, difficulty with intimate relationships, and never having been sexually active were assessed. Additionally, we collected subjective patient-reported outcomes regarding the impact of CHH on psychological/emotional well-being, intimate relationships, and sexual activity.
RESULTS: A total of 101 CHH men on long-term treatment (>1 year) were included for the analysis of the online survey (mean age 37 ± 11 years, range 19-66, median 36). Half (52/101, 51%) of the men had been seen at a specialized academic center and 37/101 (37%) reported having had fertility-inducing treatment. A high percentage of CHH men experience psychosexual problems including difficulty with intimate relationships (70%) and body image concerns/body shame (94/101, 93%), and the percentage of men never having been sexually active is five times the rate in a reference group (26% vs. 5.4%, P < 0.001). Focus groups revealed persisting body shame and low self-esteem despite long-term treatment that has lasting impact on psychosexual functioning.
CONCLUSIONS: CHH men frequently experience psychosexual problems that pose barriers to intimate relationships and initiating sexual activity. These lingering effects cause significant distress and are not ameliorated by long-term treatment. Psychosexual assessment in CHH men with appropriate psychological support and treatment should be warranted in these patients. Dwyer AA, Quinton R, Pitteloud N, and Morin D. Psychosexual development in men with congenital hypogonadotropic hypogonadism on long-term treatment: A mixed methods study. Sex Med 2015;3:32-41.
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Web of science
Open Access
Yes
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21/07/2014 16:32
Last modification date
20/08/2019 15:57
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